Executive Briefing | March 5, 2019

Value-Based Care Requirements in Medicaid

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Historically, CMS has pushed towards value-based care (VBC) for programs that are “helping us move toward paying providers based on the quality, rather than the quantity of care they give patients.” Touted as a transformative reimbursement model, VBC has historically…

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Executive Briefing | March 20, 2018

Value-Based Contracting: How to Think Like a Payer

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It is widely recognized that the rate of healthcare spending in the U.S. is unsustainable. In recent years, experts of all types, from academia to policy makers, agree that the traditional fee-for-service (FFS) approach is a major contributor to our…

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Executive Briefing | September 12, 2017

Oscar Health & Cleveland Clinic Parter to Engage Consumers

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In this market update, HealthScape Advisors explores trends in carrier – provider partnerships and defines the “missing ingredient” in many such models: effective consumer engagement. As the centerpiece of this update, we examine the innovative elements of a collaborative partnership…

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Infographic | September 7, 2017

INFOGRAPHIC: Results from Our Survey on Value-Based Payment Models

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HealthScape Advisors partnered with the Health Plan Alliance and several health plan clients to investigate drivers of success under value-based payment models. As part of this effort, HealthScape engaged 30+ health plans using both an online survey and executive interviews…

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Executive Briefing | September 7, 2017

Industry Perspectives on Value-Based Payment: Survey Results & Key Insights

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HealthScape Advisors recently partnered with the Health Plan Alliance and several of our health plan clients to survey plans about their experiences, approaches and performance under value-based payment models. In doing so, HealthScape surveyed over 30 health plans through a…

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Whitepaper | January 11, 2017

Get the Consumer on the Dance Floor: Consumer-Focused Strategies to Unleash the Economic Value of Health Plan-Health System Collaboration

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In order to create and sustain a successful health plan – health system collaboration model, it’s time to get the consumer on the dance floor. In this final installment of a three-part series, HealthScape explores how to build on the…

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hfm Magazine | November 15, 2016

Translating Risk into Revenue

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Health plan revenue is increasingly tied to the concept of risk adjustment. In practice, risk adjustment aligns payments received by health plans with the risk of the populations they manage. Although each market has its own unique version of risk…

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Whitepaper | January 27, 2016

It Takes Three to Tango: Structural Collaboration Between Carriers, Providers and Consumers

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The adoption of a comprehensive collaboration model between consumers, providers and carriers will bring opportunity to an industry in search of a sustainable solution. Key to the success of this collaboration is a model that incorporates both a consumer-oriented product…

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